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Permit Building 1973-7-26
.,,' '.":s~rif~f''M' "-' u "">--<: '~,. ::~'~.... ~~..,"\~~~ :-~Y-:-""'~--::"'-:--'--:---~.------'-r:~,,!""". -~~~_- ~'t",,,--.---.~..,......,,,~, --, /:~ ---:-',v,-'r~ ~ -'~-I~~" "'-.~~--,...--... n, ~., '.-.-l".""....-" .. . ' - . ;; . '(~ ... .~..n ,',r ~ l"~/ ' I BUILDING PERMIT. OR 'MOBILE MH,'D '," 'MAILING ADDRESS,.~ ' ".JME lJSE PERMIT. PERMIT NO. ,,' ~ .' , .of ~ n. ;"> ,.~ ..,. PROPERTY OWNER t, i LANE COlJl~TY BUILDING ,[1fj \~ South; ~10ij"v. Ulo CONTRACTOR MAILING ADDRESS :"~~'J("~::,;.~~r~'1:' . '. ',,";,i', ' ' , ,PROPERTY LqCATION - INCLUDE POST OFFICE Cobull"g [tend to ~f~ydQn 13rhl,gs 'RQSldl'loH on, j.1oC'lor ~,only' ~jMt<ahonli5e,Gnl 5~,r~et.~, PROPERTY LEGAL DESCRIPTION -,METES, BOUNDS Vie "EH12 a c I-loner 'j B B 0ek 'l lot9 TWP RANGE SECTION 17 O~ 23.3~3 APPl. t4ary tJhl Srn it h ~ i NAME TAX LO"!; NO" CODE, CENSUS TRACT 21~O' 19-03 2",no6, EXISTING 'STRUCTURES ON PROPERTY House LEGAL ACCESS'TO PROPERTY Msrvor Ave.. PROPERTY"SIZE ,-,FT. j j, & 19 2714 C;!cEmor Av~. , ( , ADDRESS ErJge~e., OregG11l . FOR MOBILE HOME PERMITS ONLY ~., ,No. of Bedrooms MAILING WIDTH DEPTH Connect to; Existing Sewage System 0 TYPE CONSTRUCTION, SQ, FT, # BDRMS .'1. STRYCTURES TO BE BUILT THIS PERMIT' Stog-age $hccl Pre Felb' (rilell:i) 0 H,) J( 10 '" 1,/' >: 'SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING ':;;'PLAN REVIEW PARK TRAILER S~PTIC.TANK ~ .:~,. $, FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY OTHERD 5.00 PUBLIC QC o OTHER '.\. TOTAL , / MIN, SEPTIC TANK ,cA.PACITY WITH DIST, BOX: GAL $ 5.00 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED 'TRENCH WIDTH FT, lIN, FT OR SQ, FT, c~o I?A~l OIF ~~crH ICO~~tiYRUCnO~~', TO BE mum Arw PART, OF E}(DS10~JIG SEt1!A~E fHSPOSAl 5v~rE~1,< TYPE OF STRUCTURE OCCUPANCY J ZONE AA" USE CLASSIFICATION , .~/......, ~I'g'99~~73," 13~~-7:l, \ PHONE 746';'32i~ . PHONE AREA .75tnEl41 New System 0 VALUATION , f ''f ",; PUBLIC UTIL EASEMENT BLDG, SETBACKS ,_ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT 2}51 ' SIDE INT; 5 J SIDE EXT. AUTHORIZED SIGNATURE - DATE Is/J.E. 01055 by l-4&rbsugh REAR 5~ Jehn CryJcksh$~k, ~.S. 'BLDG, PERMIT - WHITE ,OFFICE COpy - WHITE COUNTY TAX"":' PINK , PLUMBING - CANARY BUILDING - GREEN SANITATION - GOlDENROD DATE ]c>i!6...7) Construction to' comply with uniform' building code and county regulations covering plumbing and sewage dispo~aL All buildings require a certificate of occupancy before being occupied, (See Statement on Reverse Side) I' ,(POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNry, BLDG, & SAN" ~IV" COURT HOUSE, EUGENE, OREGON 97401 "ORM it' C,5,5. 'ul,J ,.J :...' , ..:.'1.. ',.,,, . 1"" ,,:/i: ~ \)-~, , - ./ ~ 'I, ~'1 ~ , \. '8 '~ \ r~ ~~~~l , "II I ," If 01 'J/ N vI d a~ c::l '- ~ Sh 9/1 , ' , ,;~ . ~, /l)m~R /?t/L-- " ----COMMENTS: TO APPLICANT: ( ) ( ) ( ) BUil,d,ing Permit / Site Inspection%:.1 'Can be approved. 7 - 25 -7 3~ . Cannot be approved at this time as indicated on item NO. above. Questions and further i.nformat ion oni tems I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions arid further information on items 6 thrbugh 13 contact the Lane County Buildinq ~ndSanitation Division. .Will be held'in this office until you can resolve the problems indicated, Is being returned. Your building permit appJ ication fee 'isb,eing returned under separate cuver. );(, u /(1' 1.ANE COUNTY PLANNING DEPARTMENT 135' SI;<th Avcnu~ Ea~t. Eugene, Qr~g()n 97~OI rHoNE:"3!j2-- 1311 F.XI. 231 LANE COUNTY BUILDING & SANITATION DIVISION 135'.Sixth ~venue East, El/genc! Olcgon 97J.fOI PHONL:: J~2-'l:,H" fJH. 101' . ..- ..-.-.-.....,.-................ . . . .... . . -. ..-.....-.- ......-.--. ----- M<;<;_'JA -Ii ,.,. '. _..... ~ 1.: ~ .-- '-.;."'. .~.~ ..-. > ~ .:<'"- 'rWF;~ l ......... ~.. -lji L.~~ ~ rP L~ '-~'-~l . ~t LANE COlJrJTY BUILDING PERMIT OR MOBILE . .0ME USE PERMIT BUILDING ~ MH 0 PERMIT NO, PROPERTY OWNER MAILING ADDRESS SMith. M.mry USa ~ 'j!D;, ~ 'I'" '';.t ",;&' 7'"' ..f PHONE ;r4a..,321.l.J. CONTRACTOR . j~~~~! ~~::~~~~t'. ~~i MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE tuburg ROllO to H,ydft~1i flricl{il' tt(';l_ I.ft t!1t~ KthE.W ... o...Jy ."th<l!l hmJ$fi: "rJ $rt~~t.. , PROPERTY LEGAL DESCRIPTION - METES, BOUNDS wt~I(..'Mt I u "-nor m 1 :t:td;: 1. t.ot :;0 TWP U "'f H RANGE 03 SECTION 'i"" '.ll '"", Iio'"ih:> TAX LOT NO, 2 ~(lU CODE 1~03, CENSUS TRACT 2.1~) APPL NAME & MAILING ADDRESS ~u9.n.tl Cr'.e'Gt:R~ FOR tv\OBILE HOME PERMITS ONLY ,No. of Bedrooms , STRUCTURES TO BE BUILT THIS PERMIT fjb)'e!J~ $httd 'rffl F4Ib {fnw't;Sl') Mttry Ole ~Ith EXISTING STRUCTURES ON PROPERTY flt~!;jS1i!: 411". M4Jnor twa. ,LEGAL ACCESS TO PROPERTY ~ ~\i;I.i*.. PROPERTY SIZE - FT. WIDTH DEPTH AREA 1!1:Jrc,1 ~~{l~ '0 x 10 Connect to Existjng Sewage System 0 TYPE CONSTRUCTION SQ, FT, # BDRMS New System 0 VALUATION . ~~~ ',\ SEWAGE DISPOSAL >I; i ,9Tt!.S8D ;t.uv FEES _ PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC ~ 0 OTHER ,; ...~. PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING 'PLAN REVIEW ,PARK TRAILER Z SEPTIC TANK 0 TOTAL $ ~. f~i..' \. ':..\' r-.. MIN, SEPTIC TANK <:APACITY ''\, DRAIN FIELD REQUIRED WITH DIST, BOX, GAL ~ ,'\, L1N, FT TRENCH WIDTH FT, ~ OR SQ, FT, f,} liU'I,T ~F t'di~"-c.~'Ut~TmM Tt~ It~V~\~ ~:-W;<Ji (iP mUSTU,n Satt\G~liAL COUNTY BUILDING & SANITATION SPECIFICATIONS I;VS"ft~. TYPE OF STRUCTURE OCCUPANCY J Z~~E PUBLIC UTIL EASEMENT BLDG, SETBACKS _ FT. FROM CTR" f'F ROAD RIGHT OF WAY at~. ~~ FRONT SIDE INT, SIDE EXT, hiJ J"f.!'r ij~6!i ~yH~AW8i~~t~,tTURE -DATE f~fj USE CLASSIFICATION REAR Jt;!'t1~ l(:n~ i cr..sn.rlk ti t\. ~ . , "~,,pAT,El ly:M~'.'-1.~d ~ BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction 'to comply with uniform building code and county regulations covering plumbing and sewage disposal. > All buildings require a certificate of occupancy before being occupied, (See Statement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) , ..',,'. LANE COUNTY, BLDG, & SAN, DIV" COURT HOUSE, EUGENE,:p,REGON 97401 ;,....,.. - FORM'jt rt;t;-.11. :~l. ~~. '.~ . " " ,LATH OR ,SHEETROCK INSPECTION ApPROVED / / DIS'APPROVED / I DATE' I NSPE'CT'OR REMARKS I. ,I I ' 'I ' FINAL INSPECfl.r ApPROVED IV' / DISAPPROVED' 7 / DATE ,;;./J ~7J INSPECTOR ./l ,,#/ -, ~, ' REMARKS I 'I I I CERTIF~CATE OF OtCUP~NCY READY TO I S'SUE ;. ! Noi'READY TO ISSUE / : ,:.','.. / DATE INSPECTOR REMARKS I ::Jtft?"' 7 '~,' ~Z-1!dflP ", ~~,';# I 3-J~ :< ?/,.~~2J~ ~/-I/J() ,.,~I r' - - ~, .:.. ',~\,~ -! " LAN~.~tOUJ' BU!l[);~G' PE~~ltCR:":MO:BiLE>~''''~, U~E,APPLIC,ATION ',. ,:, ~ERMIT TYPE ,":" BUIL'D1NG.~": MOBILE HO'M~, EJ0SCR'EG,'#:";;' ;PERMIT, #/39P':::'73' ' PROPERTY OWNER: ""'. ' .' ' , -MAILING ADDRESS ,', ,'" ' ,:. , '," ' '7:, '11,',' "',PHONE ' SJn.L-/it~ vIA, '.:-2Z/LI' IllJJlOM..,);.iJ6 ~"" ...." i 7~~3<f1c/ .. :~:,:::'~:,^,L- '.',"D' ,:,;: 0;':'" c' Mf"JNG ADD""', " .......; ,: ( ',' '. .,<.,;y ~ ';;:6 ~k6,(}L)'.~7n: f-kJojjWr/l3ezL>P~~.. tIE ~EJ:r 'tWV ,m~.'HDt!,:s& &iU .s h , ",. . ',' '-'", ' .. .'. ..... .,' , ,PROPERTY LEGALDESCRIPJI6:~mAj~~~/ZZ"€;":/P1/J.Ai/'lA . <'LJ/ Ij ,I',' :'L6:'t Q < METES & BOUNDS DYES LOT '7 BLOCK:~ SUBDIV. //.tof<:..IV'V' " , . (qt'P~~ ~vl<:" ,:., " ',/" AHACHED 0 NO (1"<, "'.";;$' " ,>,c?E3~3'::3' ";;//00:,:," ..>'I~~e3ii',.:'Q~/:9(;;., 'APPLICANT,.,: .,' ,,' . ,:: ~~~~TUR~S ON P~qPE~TO~ ,IF ;~NY , ;~:':::E:, ',1':' ~.',..~.~/~;::'~ ,'" ~&;iO$~A'~~,~R~C<'~ MAILING:" ,'..y.,<,,;, '", . ' ~'f'I\OP~Rf.y;?,~13~E~WI6T~H/" ,D~H0' ',,' ';' ,"" <, AREA .'~ ." .""';; -. I'(!'~.' ~ /~.' '. . ,;~;~~~~B!~E, HOME;PER.0IT O~.L Y , " ';: :.~{":,,;,~., '.:' ,,"_',' _: '" .~, Numb~rof Bedrooms;,:" . C0i1nect~to:":Ex'i~t!ng;<S,~"k'ageSystem'.D"/9r' NE:!-y'~ystem Reg. D ~TURES TO BE BUILT THIS ~E~MIT " . ,',' ",' _ ~~ CONSTRUC:'TI,ON ~:"', i .: ~ .S~, ~FT" .W BEDROOMS VAlUATION, ,~' ~-r~€','~{-f6!? "~,<A,'~>'\ . +fiE.:-FrhBy"arJf)0~>'<'l~. ", " ," (1)lLAiE- (~~,; ~~j:~a€j/:JR;~~~ "QM-\ .~:':" ,:. ' ,'," ~""'~" : ,'..,., ..'.-".':}t' " '.' ~> :..').'~ "J; co.' : .~ - -:-: . , . " ~ "-.. ' '''1, ,... ",> " .l ~. ". "r ... "";. 'SEWAGE 'DISPOSAL . " ''t, ' " ~ FIXTURES,' . CA,SH 0 SEWER , , ,CHECK 0 CONNECTioN ,FEE ~~ui:!WJ,~,G_'I!'lSJA~1E!?,BY' " ," , ..:',' 'It:,:' . ,: .',:~,.-.:" ~. "." " " . . ',' ~.;' !, . .- ,oW,NER CJ";,' OTHER:'U, NA~~ ." . P!~,NS FU~~ ">' ,FACILITY ,.~ERMIT. " . 'YES~'P ','~o"li:j " """ 'VErch' ',NO 0' .'" ':~'!PNA:URE'Cif,.A~PL!.CANT; , . DATE , :;~~~~,,~~0.v"',r "'. .;~~;1 .P.EW",t:#",:, "~. ," ""'. 'k'9P9- 73 .' ~ . " t; ~_"..' ,SEPTk TANK"' f1(.:'- 'OTHER'<t( .. . $~~ QO'''FEESi:'1~J~~:SUfP:L~i).J~ :',:' ,P!JBUC ~ ' , OTH~R -, ',:.". P:LuMBI~G FEES , '~.. " ,PUBLIC :0' BLDG,' " WASTEDIS:, , PLlIMB.!;NG' , P,LAN"k.~VIE,W , PARK TRLR, " TOTAL 'S-,.;.()(), , , ,PUBLIC, WATER" ' :. CONNECTION,FEE '-- MIN.:sEPflC' TANK GAPACITY '.,;"" ',' ... ,..I' , ". -. . _~,""."- "_', . _. ,- . .,-. _' , CQUNT)' BUI~p,ING: &SANITAT:'9N' SPl=.PFICATIONS . " '''." ,.LDIRN:A,'I.NF"T'"FIELD'REQUIRETDR' ,EN'''''H-',',':,'W;':I'D~,','T?H' "",','F',Z,T',,',:.:, "'""",':,",,,,, ',,' ' , . -' "':' " ,.:',,' " '" _ OR,SQUARE FEET',',..",'::" " :' ~ '; 1 '~'. . 'WHHDIST, BOX: GAL OCCUPANCY 4.,',",' . .. .~, . ., . . , '/", Z ~UBL,5 UT1L.y(~EME~T ' ".1 /,' ,- 'U5ECLASSIFI0Ar:IQN ~ . "" ," ,/.. , " ' 'c. :' .. ~ R~A.R~;_ "5 _ . '~~";. t , ,-,. ;t ~ , D~\I~, :BLDG'INrfP' "'~'/L/~r;_'~o:_'1j3..,D?I:" ") I'''?~ ,1~ , ". :" " .::t:"Y . /:" ~ . " " ' ."...",' ,(f , ", ' " ' (.' ,~' . ' " , '. .,. . .('. "',:;', - .' .--,.- .t~' ~ ~.. ~~,i~~~;J,J,'~~e-'. ': A},...,..~,' ',,' '.;" '" J ~6b)Can4'rud5jlJH.tD }p..,6&:'g~U.' ~' ,-,'.,.,/'.""':",.', ":,,.',' .,)1- ,~:A;~J ~Y~I " :.~ ~ . - , '.+' ~ .-~ :) , 3, ," '. _f' " ~ ~: ..~ ' .' .. :'TYPE;OF STRUCTURE './t. '" ,:"ZONE' 7<11., , ,",REARYARQ ,,' , :~ I, " ,.", "' ~,., 'BLDG,";SETBACKS ~H: FROM:'CTR: 'OF ROAD RIGHT OF, WAY:" ~ ." ~ "' , . .' '. ... , . FRONT 451' " SIDE'INT,"ei l " SIQE EX,: ~\:~'~Ct? . '. .'. , . 'C)'/. i.,' , .. .. ".I _ " Direction,s to Find Property: ,'-- .':' . :1.:-. ....~.. "" 'COpy .i-~ OFFldE :.:," COpy i-" JOURNAL:' COpy 3''''' A'UDIT ' ' " .r-, . r) Form#. C'SS',d2 :.. . BUILDING SITE EVALUATION v(/~ .. lOT'd/Q / cV, C' 9 ., . ~ I..r:' . B~ i I d i n9 Perm i t App I i cat ion ! T / ?R 03 sc23.3.3AX ,~ j' ~cNSUS TRACT ~ ' , W'7C~.~._IJ~~ ~ ~ ' " APPL ICANp " No. /3sr/t?-""';tj ; , Ni\ME:.~fJ.. . 'j ADDRESS I /0<( ( ) () Site Inspection Pre~Permit Investigati6n', PHONE DATE '~7-02~ '~::z3 ... ---. -... . .~- .-,.-- LANE COUNTY PLANNING DEPARTMENT 3. 4. Required Access NOT app I icab Ie ( ), ( ) () (' ) () (j () () () () NO YES NAME DIHE Building Site (Area: Width, 'Frontage,..Setback) Other (see comments) (v(' (~' ('J (~ ( ) : L..-IJ.- 7/Z3/77.. ' I. Zon i ng 0 rd'i nance Comp I jance (Zone :Q,.6.. ) 2. Subdivision Ordinance':Compl iance 5. ....~ .... ~........~-..~ ...-.----..,."" COMMENTS: , ' ,{) , , , , BUIL~rNGINSPECTION SECTION ~ 7. Soil Stability (foQtingsL ,~) , 0/) 'C{) rAt () () " () '( ) () () " NAME DATE , ~~ NOT NO , app I icab J e ' () () 6. Plans Submitted 8. Flood Plain, II II " !It',[)?}//~,:,,,,,, ' ,/ /;j~ , , . / V If -)'1/-1} 9. Other (see Comments) COMMENTS: to, " lO~' Sew~g~ ~ispo~al II. Usable Area ' NOT NO YES .~ app I ,i ~abl e " ,(X) (} (J (/) ()~() <,Ll,( ') , ( ) ( )( );, ( ) '1" 'NAME' DATE SAN /TAT ION SECT ION 12. WaterSupp!y f}f0@lpvL~ ff5 ,13. Other (see Comments). ~ .~ 1 COMMENTS: TO APf> LI CANT: ( ) ( ) ( ) B,uij~in,,9 pe,rmit /Site In~ecti6~~,.,' " Can beapp roved. 7 - 2:::> -I 3~ !' " C'annotbe approved at this time as indicated on item NO. . above. Quest i.o'ns and further i.nformat ion on Heins I' through 5 contact the Lane';' COUNTY PLANNING DEPARTMENT. Que~t.ions'ahd further infotmCltion 'on items 6 through 13'contact the ,Lane County Build;i'nq and~'Sanitation DivIsion. .Will be'held.<in thisof,ficeuntil you"can resolve the prqbJems indicated. Is, being ,returned. " ' ,,' " ' Your'building permi~ application fee 'iipei,ng'returned under separate cuver. "i' .. ,~' /( ), LANE COUNTY PU\N~ I NG DEPARTMENT 135' Sl;<th Avcnut~Eds~. EUgel\~. 'Qr6!gon 97~OJ rHoNE: 341',,1311 EXI.23I" LANE tOUNTY BUILDING & SANITATION DIV1SION 135'Sjii xth ~'lerlu'eEa5 t .ElI~le~c. 'Olcgon 97JfO I !'HOW . 342,-'IYJII' ,,[XT., it,." , -, - . ,'-'. . . . . _.,. . ..0 .--.-..-....-......,............ b -,. . ._.....___.._. ._,__.._. __0__- M<;<;_'JA